Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Brett Fugitt, MD

Individual provider Diagnostic Radiology Physician · NPI 1588635684

Jonathan Brett Fugitt, MD is a Diagnostic Radiology in Placerville, California. Graduated from Jefferson Medical College of Thomas Jefferson University in 1998, 28 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
28
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CA, WA
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Marshall Way Marshall Medical Ctr
Placerville, CA 95667
Phone: (530) 626-2774
Fax: (509) 248-0178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A85990 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A85992 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence A85990 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence A85990 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60491574 (WA)

Record details

NPI number1588635684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESDecember 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1998 (28 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Placerville